Nutrition · practice question

A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to vitamins and minerals. Assessment data include the client coughs when drinking thin liquids and has wet vocal quality after swallowing. Which nursing action should the nurse take first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026nutrition

Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Give a blanket answer that everything is fine and continue the prior plan.Document the client as stable without reassessment.Implement the final step of the care plan before assessing the client.

Answer and explanation

Correct answer

A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to vitamins and minerals. Assessment data include the client coughs when drinking thin liquids and has wet vocal quality after swallowing. Which nursing action should the nurse take first?

Correct answer

Why

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